Mannan, Faiyad Yaseer

Mannan, Faiyad Yaseer is an individual health care provider with primary practice located at 727 Hospital Dr , Shelbyville KY 40065-1660. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mannan, Faiyad Yaseer can be contacted via phone (502) 367-3360.

Contact Information

Primary practice address
727 Hospital Dr Shelbyville KY 40065-1660
Phone: (502) 367-3360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TP856 Kentucky

Profile Details

NPI number 1114487436
LBN Legal business name Mannan, Faiyad Yaseer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Nov 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114487436 NPPES
Kentucky MEDICAID 7100681900

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